论文部分内容阅读
目的 :分析老年人不典型急性心肌梗塞的临床特征,探讨其有效的治疗方法,观察其临床治疗效果。方法 :选取我院2014年8月~2016年4月期间收治的49例不典型急性心肌梗塞患者作为研究对象,经临床诊断和治疗,观察患者的临床症状,监测心电图及心肌酶谱的动态变化,统计其治疗结果。结果:在49例老年人不典型急性心肌梗塞患者当中,无痛性心肌梗塞36例(73.5%),明显多于异位疼痛患者,对比差异具有统计学意义(P<0.05)。ST段抬高型急性心肌梗塞患者37例(75.5%),47例心肌酶谱结果明显升高患者,2例ST段抬高型急性心肌梗塞患者的心肌酶谱结果无显著变化。经治疗抢救后,治疗有效率为95.9%。结论:针对不典型急性心肌梗塞患者的临床特征,给予有效的治疗干预办法,提高其治疗有效率。
OBJECTIVE: To analyze the clinical features of atypical acute myocardial infarction (AMI) in the elderly and to explore its effective treatment and to observe its clinical effect. Methods: Forty-nine patients with atypical acute myocardial infarction admitted to our hospital from August 2014 to April 2016 were selected as the research object. Clinical symptoms and treatment were observed and monitored. The changes of ECG and myocardial enzymes were monitored. , Statistics of the treatment results. Results: Of the 49 elderly patients with atypical acute myocardial infarction, 36 cases (73.5%) had painless myocardial infarction, which was significantly more than that of patients with ectopic pain. The difference was statistically significant (P <0.05). There were 37 patients (75.5%) with ST-elevation acute myocardial infarction and 47 patients with markedly elevated myocardial enzymes. There was no significant change in myocardial enzyme profiles in 2 patients with ST-elevation acute myocardial infarction. After treatment, the response rate was 95.9%. Conclusion: In view of the clinical features of patients with atypical acute myocardial infarction, effective treatment interventions are given to improve the treatment efficiency.